Form Rq - Application For Registration Of Securities By Qualification - Alabama Office Of The Securities Commission
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7FORM RQ
STATE OF ALABAMA
OFFICE OF THE SECURITIES COMMISSION
MONTGOMERY, ALABAMA
APPLICATION FOR REGISTRATION OF SECURITIES BY QUALIFICATION
(Application may be made by the issuer or by a registered dealer)
NOTE:
The general information required under Items 1 to 10 inclusive of this
application form must be supplied, when applicable, by every applicant and concerning
every issue sought to be registered, including applications accompanied by a Securities
and Exchange Commission registration statement.
PART 1. General Information:
Item 1. Name and address of issuer and principal office in this state:
Item 2. Registration is sought in this State for the following described securities
in the amounts indicated:
Description of Securities
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